BP13188
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Blair Building Permit Detail ~
Permit #: 13188 Issued: 4/27/2009
Completed: 6/12/2009
Location: 231 E Riverview Dr
Owner: Mark Hodson (Holding a $50.00 Deposit)
Address: 231 E Riverview Dr
Type: Decks - All types
Valuation: 4800
Permit Fee:
Issue Fee:
Deposit Amt.:
Receipt #:
Blair, NE 68008
Phone: 402 426 9278
Section: Township: Range:
Subdivision: EVERGREEN Lot: 1 Block:
12x16 deck. Deck will be on the ground it will not be raised. Holding a 50.00 deposit.
Contractors
SELF
General Contractor
Permit #
Remarks
4/30/2009 BMP
HOLDING A 50.00 DEPOSIT. Will deposit it on 7/27/2009 if not complete.
Inspections Date
6/12/2009
By
PHIL
Final Inspection of Project
Pass
J
106
25
50
24545
Issued
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CITY OF BLAIR - APPLICATION FOR BUILDING PERMIT . r
. Permit # {3188
Date: Lf - ;Z '1- 0 q Approximate Completion Date: S - 3 /) - () Cj
Site Plan Attached:"/..
REScheck Attached:
Complete Plans Attached
Aoolication for: Residentiall Commercial/Industrial _
New Construction Manufactured Home _ Modular_
Move-on: Home _ Accessory Building Other
Remodel Addition
Accessory Building: Garage _ Pole Barn_ Other
Floor Type: Dirt _ Concrete _ Electricity: Yes _ No _
Sign Erecting, Awnings _ Decks/Handicap Ramps (plot plan required) ~
Satellite Dishes/Radio Antenna/Cell Towers (Plot plan required) _
Other
Utilities: Public Water: Yes_ No Private Well
If yes, responsible entity: Blair OPPD Line Kennard
Agreement needed: _ Date Agreement Received: _
Public Sewer: Yes_ No Septic Drawing Provided: _
If yes, responsible entity: Blair _ Kennard _
County Road Permit Required: Yes_ No _ Submitted: Yes _ No _
Addition.af Description of project if necessary:
Proiect Information:
Job Address:
23/ C. Z't/JMtI~bJ ~ .
Legal Description (if applicable) g {! o/d c;f [' tI..M <fUt11 iS1 all c;& t / JiI.t / I/S IY!/
Owner: 711Mk- /loclo07l Address: d'y/.~ ao a/:;~{/.J Phone#: Lj 2& -9;;178
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Contractor: ~
Phone #:
Address:
Cell #:
Separate permits are required for electrical, plumbing, hearting, ventilating and air conditioning, and septic systems. By my signature
below, I acknowledge this building permit application does not constitute issuance of this building permit. I further agree that
construction covered by this permit application shall not be commenced until I have received a copy of a permit signed by the Building
Inspector. I hereby agree to perform the proposed work in accordance with the specifications set forth above and in accordance with the
codes/ordinances of the City of Biair and the State of Nebraska. I understand that this permit is void if work is not commenced within
180 days or is no comp' et d with' two (2) years of date of issue.
Date
ZONING REVIEW:
Zonin Flood Plain Utilities: \./
Current Zoning: L Conditional Use Permit Required: Yes _ No ~
Date C)< Approved:
State Fire Marshal Required: Yes _ No Variance Required: Yes _ No
Minimum Setbacks: Front &l Second Front Side ~ Side +- Rear
Lot Sauare Foota~e:
Length x Width:
Lot Coverage %
Drivewavs/Sidewalks:
Sidewalk required: Yes_ No_
Sidewalk Waiver: Yes
Date Waiver Approved:
Preexisting Garage requires driveway to be less than 3' from property line: Yes_
Approved by:
No
Flood Plain: Yes No
If yes, specify special requirements:
BUILDING INSPECTOR REVIEW:
Number of Stories
One Two
Three
Four
>Four
High Rise (>75 ft)_
Tvoe of Residential Structure:
Ranch _ Two Story _ Split Entry _ Raised Ranch _ Other
Rooms _ Bedrooms _ Bathrooms _ Fireplaces _ Gas_ Electric _
Egress in Basement: Required: Yes _ No _ Provided on Plans: Yes No
Sleeping Rooms Living Area Other Egress
Sauare Foota~e:
Main Level:
Basement: (Unfinished)
Garage:
Detached Garage:
Addition:
Porch: Front Rear
Deck that affect setbacks: Rear
Second Level: Third Level
(Finished)
2 bay_ 3 bay_ 4 bay_ 5+ bay
Pole Barn:
Remodel:
Side
Front Side
Occuoancv Classification:
Assembly, theaters, with stage Assembly, theater, without stage _
Assembly, nightclubs _ Assembly, restaurants, bars, banquet halls_
Assembly, churches _ Assembly, arenas _
Assembly, general, community halls, libraries, museums_
Business Educational Factory and industrial, moderate hazard _
Factory and industrial, low hazard _ High Hazard, explosives _
(section continued on next page)
High Hazard HPM
Institutional, incapacitated _
Institutional, day care facilities _
Residential, multiple family _
Residential, care/assisted living facilities
Storage, moderate hazard _ Storage, low hazard _ Utility, miscellaneous _
Institutional, supervised environment _
Institutional, restrained _
Mercantile Residential, hotels _
Residential, one- and two-family
Is buildin~ reauired to be orotected bv automatic fire sorinkler svstem?"
No
Only partially in some areas or rooms Please Specify
Yes _ If yes, the standard to which the sprinkler system will be designed:
NFPA 13 NFPS 13R NFPA 13D
Driveway Grade: 20% grade or less? Yes _ No_
(Dale will review new residential construction. AI will review all second access requests and industrial and
commercial driveway requests)
Required Off Street Parking:
Permit Fee Calculation:
Buildin~ Permit Deoosit Fee:
Commercial, new homes and residential
additions/remodels/accessory buildings valued $10,000 or greater $
Fee - $500.00
Residential additions/remodels/accessory buildings valued under $10,000 $
Fee = $200.00
All other permits Fee = $50.00 $
RESIDENTIAL - NEW CONSTRUCTION:
Permit fee is:
Finished sqJft area
(not including finished basement area)
Finished basement sqJft area
Unfinished basement sqJft area
Garage sqJft area
Total Valuation:
X $92
X$56
X$29
X $25
$
$
$
$
$
$
$
$
Total Valuation
Multiplied by 0.006 =
Issuance Fee:
25.00
Total Permit Fee = Deposit + Permit Fee + Issuance Fee
RESIDENTIAL - ADDITIONS / REMODELS and
COMMERCIAL - NEW CONSTRUCTION / ADDITIONS / REMODELS:
Business/I ndustria I/Educational/ Assembly/Factory/Storage/Utility
*Porches with roofs/screened patios are considered additions
Construction valuation computation: SqJft area X $63
Exceot for the following:
Accessory Buildings & Interior Remodeling Proiects: sqJft area X $43
Pole barns with no hard surface floor: sqJft area X $25
Sign ErectinVAwninJ:!s and Decks/Handicao Ramps: sqJft area X $25 (Minimum
valuation of $2000)
Construction valuation comoutation:
Finished sqJft area 19 d1
X$d5
$
/ 1 at)
'7) g tJt) "
Construction valuation is ...................................Permit fee is:
$0 TO $50.......................................................... $0
$51 TO $500........................................................$25
$501 TO $2,000........................................................$25 + $3 per additional $100
$2,001 TO $25,000........................................................$70 + $13 per additional $1,000
$25,001 TO $50,000..................................................... $370 + $10 per additional $1,000
$50,001 TO $100,000..................................................... $620 + $7 per additional $1,000
$100,001 TO $500,000..................................................... $970 + $5 per additional $1,000
$500,001 TO$1,OOO,OOO ..................................................$2,970 + $4 per additional $1,000
$1,000,001 AND OVER ..................................................$4,970 + $3 per additional $1,000
Issuance Fee:
$
$
$
Ib/;;,OO
. 00
/' -2 I 00 1"" 50 .
25.00 :=. ~ .
~ 181.00
Permit Fee calculated from chart above
Total Permit Fee = Deposit + Permit Fee + Issuance Fee
Additional Comments:
l-f I Vif{ 0 ct
Approved by: ~ IJAAJ/.t1'L Date:
Contingent On Approval by Fire Marshall 1\ \} \1\-
MeetlBC, IPC, IMC ::d NEC Code Requirements \ \I: f\
Sleeping Rooms below Story and in Basement required to have egress
For Office Use Only
Date Permit Paid:
Permit Fee:
Deposit Amount
Receipt #
Deposit Paid by for return to:
Bui/ding Inspection Pouch given: Yes _ No
CITY OF BLAIR, NEBRASKA
Phone 402-426-4191
RECEIVED OF:
ADDRESS
CITY, STATE, ZIP CODE
THANK YOU
KEEP THIS COPY FOR YOUR RECORDS.
NO
RECEIVED BY
Pounds Printing, Blair, NE 68008
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Promi",e
BUILDING PERMIT DEPOSIT AGREEMENT
A $500.00 refundable deposit is being collected for any new commercial, new
residential, and any additions, remodels and accessory building valued $10,000 or
greater at the time of your building permit application.
A $200.00 refundable deposit is being collected for any residential remodel,
addition or accessory building valued under $10,000,
A $50.00 refundable deposit is being collected for all misc. permits.
The City reserves the right to not refund this deposit if any of the following
conditions occur during the construction period:
1) Theft of water service by the plumber, owner or general contractor.
2) All permits have not been obtained.
3) All required inspections have not been obtained.
4) Occupancy occurs prior to a final inspection.
5) The project is completed without a final inspection being done.
6) Storm Water Management Plan inspection not obtained. (If Required)
If any or all of these situations occur during construction, you may forfeit your
deposit.
I hereby agree to the above conditions, and understand that should any or
all of the above situations occur, the building permit deposit SHALL be forfeited or
discounted upon the discretion of the City of Blair, Building and Inspections
Department.
Contractor/Owner
City of Blair
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0:C~LAIR
BUILDING INSPECTION REPORT
o WASHINGTON COUNTY
o OTHER
LOCATION OF INSPECTION'
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NAME OF OWNER'
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CONTRACTOR'
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DATE INSPECTION REQUESTED"')
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TIME INSPECTION REQUESTED'
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PERMIT
TYPE OF INSPECTION REQUESTED: 0 CONFERENCE
BUILDING: 0 FOOTING 0 DECK FOOTING 0 FRAMING 0 DRYWALL 8:'FINAL 0 PARTIAL
COMMENTS:
UTILITIES: 0 SEWER TAP 0 SEWER 0 SEPTIC 0 WATER TAP 0 REMOTE 0 WATER SERVICE
o PARTIAL
o STATUS CHECK
)Q F~ED
COMMENTS:
ELECTRICAL: 0 ROUGH IN 0 FINAL 0 PERMANENT SERVICE 0 TEMPORARY SERVICE 0 PRECONNECT
o PARTIAL
PASSED FAILED
o 0
COMMENTS:
MECHANICAL:D ROUGH-IN 0 NC 0 FURNACE 0 RADIANTHEAT 0 FINAL 0 PARTIAL
PASSED FAILED
o 0
COMMENTS:
PLUMBING: 0 GROUNDWORK 0 ROUGH-IN 0 FINAL 0 WATERMETERINSTALLED 0 PARTIAL
o PRESSURE TEST
PASSED FAILED
o 0
ENTS:
PASSED FAILED
o 0
NOTES/REMARKS'
OCCUPANCY GRANTED 0 CONDITIONAL OCCUPANCY GRANTED
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DATE OF INSPECTION MADE:
(Pl!)..!o r
.
TIMF' ,;). V)V\..
FAXED OPPD\BURT REA
TO CONNECT SERVICE: ON
BY